Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07762 | Date 28/08/2024 |
| Token No | SM/24-25/27289 28/08/2024 | Serial | 029 |
| Patient Name | Mrs. ASLAMA BIBI | Contact No | 7596940954 |
| Address | 83 MALLICKPARA SERAMPORE 712203 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||